Prospective study of Surgical Site Infections in Breast Cancer Surgery - Does wire localisation increase infection risk?
Association of Breast Surgery ePoster Library. Corcoran R. 05/15/17; 166293; P132
Roisin Corcoran
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Abstract
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Introduction: Post-operative surgical site infections (SSIs) are a common complication in breast surgery, and can lead to increased morbidity, patient distress, longer in-hospital stay, and delay of adjuvant therapies. In this study, a prospective database was compiled of all patients undergoing breast cancer surgery in St. James' Hospital over a 6-year period from 2010-2016. We sought to identify risk factors for infection in our cohort of patients, which may highlight areas of practice that can be improved in order to minimise the risk of SSI.
Methods: There were a total of 1,450 patients included. Patients were subdivided based on operation type. A total of 968 patients (68%) underwent breast conserving surgery. Within the BCS group, 591 patients (61%) had wire localisation and 377 patients (39%) had non wire guided procedures. There were 450 patients(31%) in the Mastectomy group, 99 of these operations included reconstruction (22% of mastectomy patients).
Results: There were a total of 77 (5.4%) surgical site infections. Of the 967 BCS patients, 34 had SSI's (4%). Within the BCS group SSI's, 16 were post wire guided BCS (3%) and 15 were post non wire guided procedures (4%). There were 39 SSI's after mastectomy without reconstruction (11%). Post reconstructive surgery there were 5 infections (5%).
Conclusion: On univariate analysis guide-wire use was not associated with post-operative infection (p=0.3636). On comparison of SSI in BCS vs mastectomy, on univariate analysis mastectomy was associated with a significantly higher risk of post operative infection (p=<0.0001).
Methods: There were a total of 1,450 patients included. Patients were subdivided based on operation type. A total of 968 patients (68%) underwent breast conserving surgery. Within the BCS group, 591 patients (61%) had wire localisation and 377 patients (39%) had non wire guided procedures. There were 450 patients(31%) in the Mastectomy group, 99 of these operations included reconstruction (22% of mastectomy patients).
Results: There were a total of 77 (5.4%) surgical site infections. Of the 967 BCS patients, 34 had SSI's (4%). Within the BCS group SSI's, 16 were post wire guided BCS (3%) and 15 were post non wire guided procedures (4%). There were 39 SSI's after mastectomy without reconstruction (11%). Post reconstructive surgery there were 5 infections (5%).
Conclusion: On univariate analysis guide-wire use was not associated with post-operative infection (p=0.3636). On comparison of SSI in BCS vs mastectomy, on univariate analysis mastectomy was associated with a significantly higher risk of post operative infection (p=<0.0001).
Introduction: Post-operative surgical site infections (SSIs) are a common complication in breast surgery, and can lead to increased morbidity, patient distress, longer in-hospital stay, and delay of adjuvant therapies. In this study, a prospective database was compiled of all patients undergoing breast cancer surgery in St. James' Hospital over a 6-year period from 2010-2016. We sought to identify risk factors for infection in our cohort of patients, which may highlight areas of practice that can be improved in order to minimise the risk of SSI.
Methods: There were a total of 1,450 patients included. Patients were subdivided based on operation type. A total of 968 patients (68%) underwent breast conserving surgery. Within the BCS group, 591 patients (61%) had wire localisation and 377 patients (39%) had non wire guided procedures. There were 450 patients(31%) in the Mastectomy group, 99 of these operations included reconstruction (22% of mastectomy patients).
Results: There were a total of 77 (5.4%) surgical site infections. Of the 967 BCS patients, 34 had SSI's (4%). Within the BCS group SSI's, 16 were post wire guided BCS (3%) and 15 were post non wire guided procedures (4%). There were 39 SSI's after mastectomy without reconstruction (11%). Post reconstructive surgery there were 5 infections (5%).
Conclusion: On univariate analysis guide-wire use was not associated with post-operative infection (p=0.3636). On comparison of SSI in BCS vs mastectomy, on univariate analysis mastectomy was associated with a significantly higher risk of post operative infection (p=<0.0001).
Methods: There were a total of 1,450 patients included. Patients were subdivided based on operation type. A total of 968 patients (68%) underwent breast conserving surgery. Within the BCS group, 591 patients (61%) had wire localisation and 377 patients (39%) had non wire guided procedures. There were 450 patients(31%) in the Mastectomy group, 99 of these operations included reconstruction (22% of mastectomy patients).
Results: There were a total of 77 (5.4%) surgical site infections. Of the 967 BCS patients, 34 had SSI's (4%). Within the BCS group SSI's, 16 were post wire guided BCS (3%) and 15 were post non wire guided procedures (4%). There were 39 SSI's after mastectomy without reconstruction (11%). Post reconstructive surgery there were 5 infections (5%).
Conclusion: On univariate analysis guide-wire use was not associated with post-operative infection (p=0.3636). On comparison of SSI in BCS vs mastectomy, on univariate analysis mastectomy was associated with a significantly higher risk of post operative infection (p=<0.0001).
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